Evidence map›Paper›PMID 27501703›Full record

ArticleArchives of orthopaedic and trauma surgery2016

Significant differences in femoral torsion values depending on the CT measurement technique.

Peter Kaiser, René Attal, Mark Kammerer, Michael Thauerer, Lea Hamberger, Raul Mayr, Werner Schmoelz

Abstract read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers.

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0cells of the map it votes in
84citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

84 citing papers in PubMed.

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  13. Validation of a software-based torsional measurement method of the lower limb: A retrospective study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Article
  14. Management of first-time patellar dislocation: The ESSKA 2024 formal consensus-Part 1.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Article
  15. Influence of limb position on femoral neck anteversion angle measurement during computed tomography imaging.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2025
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  20. Comparison of software-assisted and freehand methods of rotational assessment for diaphyseal femur fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article

24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Peter KaiserDepartment of Trauma Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
René AttalDepartment of Trauma Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Mark KammererDepartment of Radiology, Medical University of Innsbruck, Innsbruck, Austria.
Michael ThauererDepartment of Radiology, Medical University of Innsbruck, Innsbruck, Austria.
Lea HambergerDepartment of Trauma Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Raul MayrDepartment of Trauma Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Werner SchmoelzDepartment of Trauma Surgery, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. Werner.schmoelz@i-med.ac.at.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study compared the feasibility of six different CT-based measurement techniques for establishing an indication for derotational osteotomy in the cases of patellar instability or femoral fracture. MATERIALS AND

methodsCT scans of 52 single human cadaver femora were measured using six different torsion measurement techniques (described by Waidelich, Murphy, and Yoshioka on transverse images and Hernandez, Jarrett, and Yoshioka on oblique images). All measurements were performed by four observers twice to assess intraobserver and interobserver agreement. The intraclass correlation coefficient (ICC), ANOVA, and Bonferroni post hoc test were used for the statistical analysis.

resultsSignificant differences (P < 0.001) between the values for femoral torsion were observed with all techniques except Yoshioka's techniques on transverse and oblique slices (P = 1.000) (transverse images: Waidelich 22.4° ± 6.8°, Murphy 17.5° ± 7.0°, Yoshioka 13.4° ± 6.9°; oblique images: Hernandez 11.4° ± 7.4°, Jarrett 14.9° ± 7.5°, Yoshioka oblique 13.4° ± 7.1°). Intraobserver and interobserver agreement showed a high level of reproducibility (ICC 0.877-0.986; mean 0.8°-2.9°) for all techniques, with the greatest difference being observed with Hernandez's technique (11.4°/10°).

conclusionsFemoral torsion values depend on the measurement technique. When derotational osteotomy is being considered, it is essential to use different threshold values depending on the measurement technique.

Indexed as

Torsion, MechanicalAgedAged, 80 and overCadaverFeasibility StudiesFemaleFemurHumansMaleMiddle AgedReproducibility of ResultsTomography, X-Ray ComputedAnteversionDerotational osteotomyFemoralPatella dislocationTorsion

Identifiers

PMID27501703
PMCPMC4990621

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.